NURS 661 EXAM 1 KEY POINTS questions with verified
answers
4 signs that EMDR is helping Ans✓✓✓ 1. emotional regulation
2. positive self-relief
3. better sleep
4. improving self-esteem
8-Phase Protocol for EMDR Ans✓✓✓ 1. Patient History and Treatment Planning
2. Preparation
3. Assessment
4. Desensitization
5. Installation
6. Body scan
7. Closure
8. Reevaluation
Acetylcholine (ACh) Ans✓✓✓ Occurs in cholinergic tracts extending from the
limbic structures to the cortex, and a decrease in concentration is associated with
memory and cognitive impairments. Also regulates mood, mania, and sexual
aggression. An increase is associated with depression
Decrease is associated with memory, cognitive impairments, Parkinsonism,
Alzheimer's
Acting out (immature) Ans✓✓✓ Avoiding conscious experience of the emotion
through impulsive action (e.g., instead of feeling sad, a person gets drunk)
,Adaptive information processing (AIP) Ans✓✓✓ Posits that most mental health
problems and symptoms of psychiatric disorders are due to disturbance or
dysregulation in the integration and connection of neural networks that occur in
response to adverse life experiences.
Normally information is taken in through the senses and connected adaptively to
other memory networks so that storing and learning occur. There is thought to be
innate self-healing in the brain and just as the body strives for homeostasis, so
too does the brain through the regulation and processing of information.
However, if something is experienced as overwhelming emotionally, brain
processing is interrupted owing to the massive influx of hormones and
neurotransmitters. It is as if our brain is saying: "Don't forget this, this is
important!" These unprocessed experiences are considered to the basis of the
symptoms of many mental health problems and psychiatric disorders.
what is this used for?
Affirming Ans✓✓✓ Comments on the person's strengths and efforts
Altruism (Mature) Ans✓✓✓ Using service to others and vicariously experiencing
pleasure through doing good for others to avoid negative feelings about oneself
(e.g., a young woman is a social activist)
Amygdala following a traumatic event Ans✓✓✓ 2 types of reactions to traumatic
events: 1) emotional under modulation with intrusive symptoms leading to
hyperactivity of the medial prefrontal cortex and inhibition of the amygdala, 2)
hypoarousal of the prefrontal cortex and activation of the amygdala
When the amygdala is overactivated and irritable, kindling occurs. Kindling refers
to lowering of the excitability threshold of neurons, rendering the person
increasingly likely to develop certain symptoms.
, With repeated stress, kindling is thought to sensitize limbic neurons, so the
reactions are set off by stimuli that were previously subthreshold
Attunement Ans✓✓✓ The capacity to read signals (often nonverbal) that indicate
the need for engagement or disengagement
Avoidant PD Mnemonic Ans✓✓✓ Mnemonic: CRINGES (4 of these 7)
Certainty of being liked required before willing to risk involvement
Rejection possibility preoccupies his thoughts
Intimate relationships avoided
New relationships avoided
Gets around occupational activities that involve interpersonal contact
Embarrassment potential prevents new activities
Avoidant Personality Disorder Ans✓✓✓ CBT is the best therapy for this PD
Cluster C ("Anxious")
Self-statement: "I'm really afraid of what people will think of me, so I avoid
making new friends to prevent rejection."
Behavioral clues: the patient may appear shy and nervous with a poignant
eagerness to make contact. He may begin the interview reluctant to open up and
will typically become quite self-revealing once rapport has been established
Borderline Personality Disorder Ans✓✓✓ DBT is the best therapy for this PD
answers
4 signs that EMDR is helping Ans✓✓✓ 1. emotional regulation
2. positive self-relief
3. better sleep
4. improving self-esteem
8-Phase Protocol for EMDR Ans✓✓✓ 1. Patient History and Treatment Planning
2. Preparation
3. Assessment
4. Desensitization
5. Installation
6. Body scan
7. Closure
8. Reevaluation
Acetylcholine (ACh) Ans✓✓✓ Occurs in cholinergic tracts extending from the
limbic structures to the cortex, and a decrease in concentration is associated with
memory and cognitive impairments. Also regulates mood, mania, and sexual
aggression. An increase is associated with depression
Decrease is associated with memory, cognitive impairments, Parkinsonism,
Alzheimer's
Acting out (immature) Ans✓✓✓ Avoiding conscious experience of the emotion
through impulsive action (e.g., instead of feeling sad, a person gets drunk)
,Adaptive information processing (AIP) Ans✓✓✓ Posits that most mental health
problems and symptoms of psychiatric disorders are due to disturbance or
dysregulation in the integration and connection of neural networks that occur in
response to adverse life experiences.
Normally information is taken in through the senses and connected adaptively to
other memory networks so that storing and learning occur. There is thought to be
innate self-healing in the brain and just as the body strives for homeostasis, so
too does the brain through the regulation and processing of information.
However, if something is experienced as overwhelming emotionally, brain
processing is interrupted owing to the massive influx of hormones and
neurotransmitters. It is as if our brain is saying: "Don't forget this, this is
important!" These unprocessed experiences are considered to the basis of the
symptoms of many mental health problems and psychiatric disorders.
what is this used for?
Affirming Ans✓✓✓ Comments on the person's strengths and efforts
Altruism (Mature) Ans✓✓✓ Using service to others and vicariously experiencing
pleasure through doing good for others to avoid negative feelings about oneself
(e.g., a young woman is a social activist)
Amygdala following a traumatic event Ans✓✓✓ 2 types of reactions to traumatic
events: 1) emotional under modulation with intrusive symptoms leading to
hyperactivity of the medial prefrontal cortex and inhibition of the amygdala, 2)
hypoarousal of the prefrontal cortex and activation of the amygdala
When the amygdala is overactivated and irritable, kindling occurs. Kindling refers
to lowering of the excitability threshold of neurons, rendering the person
increasingly likely to develop certain symptoms.
, With repeated stress, kindling is thought to sensitize limbic neurons, so the
reactions are set off by stimuli that were previously subthreshold
Attunement Ans✓✓✓ The capacity to read signals (often nonverbal) that indicate
the need for engagement or disengagement
Avoidant PD Mnemonic Ans✓✓✓ Mnemonic: CRINGES (4 of these 7)
Certainty of being liked required before willing to risk involvement
Rejection possibility preoccupies his thoughts
Intimate relationships avoided
New relationships avoided
Gets around occupational activities that involve interpersonal contact
Embarrassment potential prevents new activities
Avoidant Personality Disorder Ans✓✓✓ CBT is the best therapy for this PD
Cluster C ("Anxious")
Self-statement: "I'm really afraid of what people will think of me, so I avoid
making new friends to prevent rejection."
Behavioral clues: the patient may appear shy and nervous with a poignant
eagerness to make contact. He may begin the interview reluctant to open up and
will typically become quite self-revealing once rapport has been established
Borderline Personality Disorder Ans✓✓✓ DBT is the best therapy for this PD
